P04

Newborn affected by noxious substances transmitted via placenta or breast milk

Non-billable header

P04 is a non-billable header code. Use one of the more specific codes below.

Inclusion terms

Includes

  • conditions that have their origin in the fetal or perinatal period (before birth through the first 28 days after birth) even if morbidity occurs later
  • nonteratogenic effects of substances transmitted via placenta
  • Note: Codes from this chapter are for use on newborn records only, never on maternal records
  • Note: These codes are for use when the listed maternal conditions are specified as the cause of confirmed morbidity or potential morbidity which have their origin in the perinatal period (before birth through the first 28 days after birth).

Excludes2

Not included here — may be reported together when both conditions exist.

  • congenital malformations, deformations and chromosomal abnormalities (Q00-Q99)
  • endocrine, nutritional and metabolic diseases (E00-E88)
  • injury, poisoning and certain other consequences of external causes (S00-T88)
  • neoplasms (C00-D49)
  • tetanus neonatorum (A33)
  • congenital malformations (Q00-Q99)
  • encounter for observation of newborn for suspected diseases and conditions ruled out (Z05.-)
  • neonatal jaundice from excessive hemolysis due to drugs or toxins transmitted from mother (P58.4)
  • newborn in contact with and (suspected) exposures hazardous to health not transmitted via placenta or breast milk (Z77.-)

Code first

Sequence the underlying condition first.

  • any current condition in newborn, if applicable

More specific codes P04

  • P04.0Newborn affected by maternal anesthesia and analgesia in pregnancy, labor and deliveryBillable
  • P04.1Newborn affected by other maternal medicationHeader
  • P04.2Newborn affected by maternal use of tobaccoBillable
  • P04.3Newborn affected by maternal use of alcoholBillable
  • P04.4Newborn affected by maternal use of drugs of addictionHeader
  • P04.5Newborn affected by maternal use of nutritional chemical substancesBillable
  • P04.6Newborn affected by maternal exposure to environmental chemical substancesBillable
  • P04.8Newborn affected by other maternal noxious substancesHeader
  • P04.9Newborn affected by maternal noxious substance, unspecifiedBillable

Related codes

  • P00Newborn affected by maternal conditions that may be unrelated to present pregnancyHeader
  • P01Newborn affected by maternal complications of pregnancyHeader
  • P02Newborn affected by complications of placenta, cord and membranesHeader
  • P03Newborn affected by other complications of labor and deliveryHeader

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